Individual
MR. BERNARD JOSEPH BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5000 S 13TH ST, LEAVENWORTH, KS 66048-5581
(913) 727-4845
Mailing address
5000 S 13TH ST, LEAVENWORTH, KS 66048-5581
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
028121
MO
183500000X
Pharmacist
Primary
1-09008
KS
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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